Healthy People 2020

Don Wright, M.D., M.P.H.,

Deputy Assistant Secretary for Health

Office of Disease Prevention and Health Promotion

U.S. Department of Health and Human Services

August 7, 2012

A Foundation for Health Promotion and Disease Prevention Throughout the Nation

Healthy People2020: Overview

■ Office of Disease Prevention and Health Promotion

■ Healthy People 2020

– Historical Background

– Vision and Mission

– Development Process

– Social Determinants

– Web Site

■ Leading Health Indicators

■ Connecting with Healthy People

U.S. Department of Health and

Human Services

Office of Disease Prevention and

Health Promotion

Key Features of Healthy People

■ Creates a comprehensive, strategic framework that unites health promotion and disease prevention issues under a single umbrella.

■ Provides science-based objectives and targets

■ Tracks data-driven outcomes to monitor progress over time

to motivate, guide, and focus action.

■ Engages a network of multidisciplinary, multisectoral stakeholders at all levels.

■ Guides national research, program planning, and policy efforts that drive action to promote health and prevent disease.

Fourth Decade

■ Healthy People: Surgeon General’s Report on Health Promotion and Disease Prevention (1979)

■ Healthy People 1990: Promoting Health / Preventing Disease - Objectives for the Nation

■ Healthy People 2000: National Health Promotion and Disease Prevention Objectives

■ Healthy People 2010: Objectives for Improving Health

■ Healthy People 2020: Healthy People in Healthy Communities

Evolution of Healthy People

Target Year

1990

2000 2010

2020

Overarching Goals

•Decrease mortality: infants–adults •Increase independence among older adults

•Increase span of healthy life •Reduce health disparities •Achieve access to preventive services for all

•Increase quality and years of healthy life •Eliminate health disparities

•Attain high-quality, longer lives free of preventable disease •Achieve health equity; eliminate disparities •Create social and physical environments that promote good health •Promote quality of life, healthy development, healthy behaviors across life stages

# Topic Areas 15 22 28 42*

# Objectives/ Measures

226/NA 312/NA 467/1,000 >580/1200

39* With objectives

Final Review for 2010

Healthy People 2020

Vision

a society in which all people live long, healthy lives

Overview

■ national 10-year goals

■ 1,200 specific objectives

■ stakeholder-driven since 1979

■ ecological and determinants approach

Mission

■ identify nationwide health improvement priorities

■ increase public awareness and understanding of the determinants of health, disease, and disability, and the opportunities for progress

■ provide measurable objectives and goals that are applicable at the national, state, and local levels

Mission - Continued

■ engage multiple sectors to take actions to strengthen policies and improve practices that are driven by the best available evidence and knowledge

■ identify critical research, evaluation, and data collection needs

State and Local Governments (50 State Coordinators)

Community-Based Organizations, Community Health Clinics, Social Service Organizations, etc.

National-Level Stakeholders, Including Members of the Healthy People Consortium (2,200+ Volunteers)

Individuals, Families, and Neighborhoods Across America

Federal Interagency Workgroup (28 Federal Agencies)

HHS Secretary’s Advisory Committee

Federally Led,

Stakeholder-Driven Process

Healthy People: Aligns Strategic Public

Health Goals and Efforts Across the Nation

Non-Aligned Effort Random Acts of Innovation

Healthy People

Aligned Effort

Topic Areas New to HP2020

• Life stages Adolescent Health Early and Middle Childhood Older Adults

Blood Disorders and Blood Safety Dementia, including Alzheimer's Disease Genomics Global Health Healthcare Associated Infections Lesbian, Gay, Bisexual, and Transgender Health Preparedness Quality of Life and Well-Being Sleep Health Social Determinants of Health

14

Framework: Social Determinants

Federal Interagency Workgroup

■ 30 agencies and offices

■ 10 federal departments

■ subject-matter experts

Website

Website

Topic Areas

Topic Areas

Topic Area - Example

Topic Area - Example

Objectives

Objectives

Objectives

Objectives

Objective - Example

Objective - Example

Objective - Example

NWS-9: Reduce the proportion of adults who are obese

■ Baseline 34.0 percent of persons aged 20 years and over were

obese in 2005-08 (age adjusted to the year 2000 standard population)

■ Target 30.6 percent

■ Target-Setting Method 10 percent improvement

■ Data Source National Health and Nutrition Examination Survey

(NHANES), CDC, NCHS

Objective - Example

Objective - Example

Objective - More Information

Objective - Criteria for Inclusion

■ important and understandable to a broad audience

■ prevention-oriented and achievable through various interventions

■ drives action

■ useful and reflects issues of national importance

■ measurable and addresses a range of issues

■ builds on past iterations of Healthy People

■ supported with best available scientific evidence

■ addresses population disparities

Implementation for 2020

Leading Health Indicators

■ Small set of health issues that are recognized as major influences on public health

■ 26 indicators organized under 12 topics

■ align with Healthy People 2020 objectives

■ selected to communicate high-priority health issues

■ practical framework for public health professionals

Leading Health Indicator Topics

■ Access to Health Services

■ Clinical Preventive Services

■ Environmental Quality

■ Injury and Violence

■ Maternal, Infant, and Child Health

■ Mental Health

■ Nutrition, Physical Activity, and Obesity

■ Oral Health

■ Reproductive and Sexual Health

■ Social Determinants

■ Substance Abuse

■ Tobacco

National Center for Health

Statistics

■ within Centers for Disease Control and Prevention

■ key partner for Healthy People

■ rigorously analyzes data to assure high quality

Consortium and Partners